| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,693 |
15,290 |
$150K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,514 |
6,471 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,803 |
6,725 |
$91K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,312 |
6,305 |
$88K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,715 |
2,702 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,289 |
5,283 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,865 |
3,853 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,747 |
2,745 |
$36K |
| 92552 |
|
8,171 |
8,161 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,332 |
1,308 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,691 |
2,581 |
$19K |
| 92587 |
|
1,021 |
1,015 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,396 |
1,372 |
$17K |
| 97803 |
|
8,560 |
8,547 |
$14K |
| 0001A |
|
283 |
282 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
352 |
$10K |
| 83655 |
|
1,361 |
1,350 |
$9K |
| 0071A |
|
239 |
238 |
$8K |
| 0002A |
|
210 |
210 |
$8K |
| 0072A |
|
177 |
177 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
339 |
314 |
$6K |
| 90461 |
|
920 |
919 |
$4K |
| 99441 |
|
700 |
671 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
9,331 |
9,149 |
$3K |
| 86580 |
|
299 |
292 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
419 |
419 |
$2K |
| 99174 |
|
9,934 |
9,913 |
$2K |
| 97802 |
|
437 |
437 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,177 |
2,176 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
2,686 |
2,685 |
$1K |
| 90686 |
|
5,594 |
5,583 |
$1K |
| 90670 |
|
1,062 |
1,059 |
$1K |
| 90474 |
|
71 |
71 |
$1K |
| 81000 |
|
702 |
686 |
$867.14 |
| 99442 |
|
46 |
46 |
$468.70 |
| 92551 |
|
321 |
321 |
$379.96 |
| 90633 |
|
755 |
752 |
$334.80 |
| 36416 |
|
736 |
731 |
$305.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$288.21 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,639 |
2,639 |
$227.68 |
| 93000 |
|
12 |
12 |
$206.29 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
336 |
315 |
$169.70 |
| 99173 |
|
368 |
368 |
$163.72 |
| 90648 |
|
433 |
433 |
$150.00 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
325 |
304 |
$148.53 |
| 87430 |
|
111 |
109 |
$134.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
598 |
568 |
$117.57 |
| 87088 |
|
13 |
13 |
$105.02 |
| 90723 |
|
181 |
181 |
$100.00 |
| 99000 |
|
10,582 |
10,200 |
$69.11 |
| 92558 |
|
47 |
45 |
$61.98 |
| 97804 |
|
20 |
20 |
$50.25 |
| 90655 |
|
88 |
88 |
$43.41 |
| 90656 |
|
126 |
126 |
$39.54 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
294 |
277 |
$37.05 |
| 90734 |
|
321 |
321 |
$30.00 |
| 90680 |
|
449 |
449 |
$30.00 |
| 90716 |
|
64 |
64 |
$30.00 |
| 90651 |
|
446 |
446 |
$17.85 |
| 90700 |
|
51 |
51 |
$15.00 |
| 81002 |
|
18 |
17 |
$12.26 |
| 3511F |
|
838 |
835 |
$0.60 |
| 91307 |
|
422 |
386 |
$0.58 |
| 91300 |
|
507 |
460 |
$0.04 |
| 3008F |
|
6,997 |
6,981 |
$0.01 |
| 3725F |
|
2,029 |
2,028 |
$0.00 |
| 3016F |
|
2,128 |
2,128 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,267 |
1,266 |
$0.00 |
| 90710 |
|
102 |
102 |
$0.00 |
| 96160 |
|
121 |
121 |
$0.00 |
| 90715 |
|
63 |
63 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
116 |
116 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
82 |
82 |
$0.00 |
| 99401 |
|
25 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,753 |
6,735 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
55 |
55 |
$0.00 |
| 4293F |
|
103 |
102 |
$0.00 |
| 1036F |
|
1,759 |
1,758 |
$0.00 |
| 1000F |
|
1,292 |
1,291 |
$0.00 |
| 90620 |
|
43 |
42 |
$0.00 |
| 90696 |
|
55 |
55 |
$0.00 |
| 4000F |
|
47 |
47 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |